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Bronchophony may be caused by a solidification of lung tissue around the bronchi – which may indicate lung cancer – or by fluid in the alveoli, which may indicate pneumonia. However, it may also have benign causes, such as wide bronchi. As such, it is usually an indication for further investigation rather than the main basis of a diagnosis.
Respiratory sounds, also known as lung sounds or breath sounds, are the specific sounds generated by the movement of air through the respiratory system. [1] These may be easily audible or identified through auscultation of the respiratory system through the lung fields with a stethoscope as well as from the spectral characteristics of lung sounds. [2]
In order to listen to the lungs from the back the patient is asked to move their arms forward to prevent the scapulae (shoulder blades) from obstructing the upper lung fields. These fields are intended to correlate with the lung lobes and are thus tested on the anterior (front) and posterior (back) chest walls.
Egophony (British English, aegophony) is an increased resonance of voice sounds [1] heard when auscultating the lungs, often caused by lung consolidation and fibrosis.It is due to enhanced transmission of high-frequency sound across fluid, such as in abnormal lung tissue, with lower frequencies filtered out.
The whispered pectoriloquy test is similar to bronchophony, but not so much egophony. [2] In bronchophony, the physician often asks the patient to say "ninety-nine" or "baseball" while listening over a lung field with a stethoscope. The spoken word sounds will be louder in areas where consolidation is present.
Typically, an area of white lung is seen on a standard X-ray. [5] Consolidated tissue is more radio-opaque than normally aerated lung parenchyma, so that it is clearly demonstrable in radiography and on CT scans. Consolidation is often a middle-to-late stage feature/complication in pulmonary infections.
Deviation from guidelines can result in false-positive or false negative test results, even though only a small minority of pulmonary function laboratories followed published guidelines for spirometry, lung volumes and diffusing capacity in 2012. [19]
Crackles are caused by explosive opening of small airways [7] and are discontinuous, [8] nonmusical, and brief. Crackles are more common during the inspiratory than the expiratory phase of breathing, but they may be heard during the expiratory phase.